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健康受试者和亚急性脑卒中患者接受局灶性振动后感觉运动皮层的激活和功能脑网络拓扑性质的研究:一项 EEG 研究。

Study of the activation in sensorimotor cortex and topological properties of functional brain network following focal vibration on healthy subjects and subacute stroke patients: An EEG study.

机构信息

Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Haidian, Beijing, China.

Department of Rehabilitation Medicine, Shenzhen Nanshan People's Hospital and the 6th Affiliated Hospital of Shenzhen University Health Science Center, China.

出版信息

Brain Res. 2019 Nov 1;1722:146338. doi: 10.1016/j.brainres.2019.146338. Epub 2019 Jul 16.

Abstract

Modulation on cerebral cortex and cerebral networks can induce reorganization of the brain, which contributes to rehabilitation. Previous studies have proved that focal vibration (FV) on limb muscles can modulate the activities of sensorimotor cortex in healthy subjects (HS). The objective of this paper is to study the modulatory effects of FV on the sensorimotor cortex and cerebral network in HS and subacute stroke patients (SP). An experiment was designed and conducted, during which FV of 75 Hz was applied over biceps muscle of right limb of 10 HS and 10 SP with right hemiplegia. Electroencephalography (EEG) was recorded in the following phases: before FV, control condition and three sessions of FV. EEG analysis showed a significant decrease in motor-related power desynchronization (MRPD) of contralesional primary sensorimotor cortex (contralesional S1-M1) in the beta2 band (18-21 Hz) for SP during FV sessions, as well as in MRPD of bilateral S1-M1 in the beta1 (13-18 Hz) and the beta2 band for HS. Moreover, MRPD of contralesional S1-M1 was significantly lower than MRPD of ipsilesional S1-M1 during FV. Besides, a significant increase of global efficiency (E) and decrease of characteristic path length (L) were identified in the beta1 band for SP, whereas a significant increase of L was identified for HS. The results indicated that FV could enhance the excitability of contralesional S1-M1 and alter topological properties of functional brain network for SP, which was different in HS. This indication can contribute to understanding the modulatory effects of FV on cerebral cortex and cerebral network.

摘要

大脑皮层和脑网络的调制可以引起大脑的重组,从而促进康复。先前的研究已经证明,肢体肌肉的焦点振动(FV)可以调节健康受试者(HS)感觉运动皮层的活动。本文的目的是研究 FV 对 HS 和亚急性中风患者(SP)感觉运动皮层和脑网络的调制作用。设计并进行了一项实验,在此期间,对 10 名 HS 和 10 名右侧偏瘫的 SP 的右侧肢体二头肌肌肉施加 75Hz 的 FV。在以下阶段记录脑电图(EEG):FV 之前、对照条件和三次 FV 期间。EEG 分析表明,在 FV 期间,SP 的对侧初级感觉运动皮层(对侧 S1-M1)的运动相关功率去同步(MRPD)在 beta2 频段(18-21Hz)显著降低,HS 的双侧 S1-M1 的 MRPD 在 beta1(13-18Hz)和 beta2 频段也降低。此外,在 FV 期间,对侧 S1-M1 的 MRPD 明显低于同侧 S1-M1 的 MRPD。此外,SP 在 beta1 频段的全局效率(E)显著增加,特征路径长度(L)显著降低,而 HS 的 L 显著增加。结果表明,FV 可以增强对侧 S1-M1 的兴奋性,并改变 SP 的功能脑网络的拓扑性质,而 HS 则不同。这一发现有助于理解 FV 对大脑皮层和大脑网络的调制作用。

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